When providing teaching to the guardian of a child who has leukemia about methods to prevent complications, which of the following statements by the guardian indicates an understanding of the teaching, as assessed by a home health nurse?
"I'm sure my child will feel better now that he can ride his bicycle."
"I will make sure my child gets a measles, mumps, and rubella vaccine this week."
"I should take my child's rectal temperature daily."
"I should inspect my child's mouth for sores."
The Correct Answer is D
Children with leukemia are at risk for developing oral mucositis, which is inflammation and ulceration of the oral mucosa due to the destruction of rapidly dividing cells by chemotherapy. Inspecting the child's mouth for sores and providing appropriate mouth care is essential to prevent infection and to maintain hydration and nutrition. Riding a bicycle is not recommended for a child with leukemia because of the risk of falls and injuries, and the measles, mumps, and rubella vaccine is contraindicated for children with leukemia who are receiving chemotherapy. Measuring the temperature orally or axillary is a safe and accurate method for monitoring the child's temperature.
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Related Questions
Correct Answer is C
Explanation
. Immunization is one of the most effective primary prevention measures, as it can prevent the spread of infectious diseases in schools. By monitoring the immunization status of students, the school nurse can ensure that all students are up-to-date on their vaccinations and take action if any student is not. Scheduling hearing screenings or providing first aid for injured students are examples of secondary prevention, which aims to detect and treat illnesses or injuries early to prevent complications.
Correct Answer is A
Explanation
Explanation: According to the Centers for Disease Control and Prevention, the leading cause of death for adolescents aged 15 to 19 years is motor vehicle crashes. Therefore, it is crucial for the school nurse to give priority to motor vehicle safety when planning safety education for adolescents. The nurse can teach safe driving practices, such as wearing seat belts, avoiding distracted driving, and following traffic laws. The nurse can also encourage parents to set limits and supervise their adolescents' driving, such as restricting night driving and the number of passengers. Although sports injury prevention, gun safety, and substance abuse prevention are essential topics, they are not the leading cause of death for this age group.
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